VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cynthia's Child Care Center LLC
100 North Carter Street
Suite 8 & 10
La crosse, VA 23950
(434) 253-3052

Current Inspector: Sydney Emory (804) 807-3277

Inspection Date: Aug. 31, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A monitoring inspection was initiated on August 31, 2021 and concluded on September 1, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 24 children present, ranging in ages from 10 months to 7 years, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records and 4 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22VAC40-185-160-B
Description:	Based on a review of two staff records and interview on September 1, 2021, the center failed to obtain an acceptable form of documentation of tuberculosis screening. Evidence: 1. The tuberculosis test for Staff #1 was not signed by a physician or a physician's designee. 2. Administration acknowledged the test was not signed.
Plan of Correction:	Making an appointment for a TB screening
Standard #:	22VAC40-185-160-C
Description:	Based on a review of staff records and interview on September 2, 2021, the center did not obtain results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: 1. The record of Staff #2 (DOH 9/29/17) contained a tuberculosis screening dated 7/1/19. 2. Administration acknowledged the tuberculosis screening was expired.
Plan of Correction:	Making an appointment for a tb screening.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of staff records and interview on September 1, 2021, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of Staff #1 (DOH 5/3/21) did not contain documentation of a central registry finding. 2. Administration acknowledged there was no documentation of results of the central registry search.
Plan of Correction:	Contacted the Office of Background Investigations re-submitting central registry form.